Janet E Ballard

Individual provider Active NPI Developmental Therapist · Indianapolis, IN

NPI 1487380317 · NPPES record last updated Jul 25, 2022

Key facts

NPI
1487380317
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
6239 S East St Ste a
Indianapolis, IN 46227-2088
Phone
(317) 791-9031
NPI assigned
Jul 25, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Pediplay LLC Past
since Jul 31, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

6239 S East St Ste a
Indianapolis, IN 46227-2088

Mailing address

6239 S East St Ste a
Indianapolis, IN 46227-2088
Phone (317) 791-9031

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Developmental Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.